AMLS Post Test 2021 3rd Edition
Which of the following may cause primary respiratory alkalosis? - answerFever
A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is
warm and his urine is dark, yellow and cloudy. Vital signs are BP 86/68, P-128, R-24,
temp 101.2 F (38degrees C). Which type of shock should you suspect? - answerSeptic
A 20-year-old male college student complains of acute onset of fever, headache,
vomiting, and malaise. He appears ill and has a petechial rash on his extremities. What
should you suspect? - answerMeningitis
A 20-year-old male complains of severe pain after a jellyfish sting. He has a red,
swollen ankle and foot. What should you do? - answerWash the area and administer an
analgesic
The renin-angiotensin-aldosterone system is activated during shock in order to cause
which of the following? - answerIncrease in preload, after load, and reabsorption of
sodium
An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-
week history of productive cough. She has pursed lip breathing. She is prescribed a
bronchodilator as needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What
should you suspect? - answerEpiglottitis
An anxious 32-year-old female complains of chest pains with palpitations. She has a
history of Grave's disease. She reports she was seen in the ED earlier that day and had
a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of
101.5 F (38.6 C). Vital signs are BP-100/62, P-156, R-30, BGL 133mg/dL. What should
you administer? - answerNormal Saline
What statement is correct regarding responding to a suspected nerve agent exposure? -
answerPatients should be treated in a well-ventilated area
What reference is the MOST beneficial to obtain for a suspected stroke? - answerLast
Known Well
Which of the following statements is correct regarding radioactive materials? -
answerSimple clothing can stop beta particles from entering the body
What finding is unique to pericarditis? - answerDiffuse ST segment elevation
A 21-year-old male complains of sharp chest pain and shortness of breath. The
symptoms started when he lifted a heavy object. Vital signs are BP-152/96, P-108, R-24
, and diminished on the left. What should you suspect? - answerSpontaneous
Pneumothorax
A 72-year-old female complains of a sudden onset of a burning sensation to the left side
of her forehead and blurred vision. She wants to follow up with her primary care
physician tomorrow. Vital signs are BP-150/70, P-80, R-16. What should you do? -
answerEncourage her to be transported by ambulance to the hospital
An anxious 61-year-old male complains of severe shortness of breath and localized
chest pain with blood-tinged sputum. His dyspnea started when he stood up from
watching television all day and increased in severity as he moved around. Vital signs
are BP-104/60, P-98 and irregular, R-26 and labored. What should you suspect? -
answerPulmonary Embolism
Anaphylaxis is most commonly associated with which physiological event? -
answerVasodilation
A confused 67-year-old male has vomited multiple times prior to EMS arrival. He was
involved in a car crash 48 hours prior. Bystanders state he became increasingly
confused and lost coordination since the crash. Vitals signs are BP-150/88, P-72, R-18,
BGL-92 mg/dL. What should you suspect? - answerSubdural Hematoma
What condition causes paroxysmal nocturnal dyspnea? - answerLeft-sided heart failure
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic
state (HHS)? - answerNormal Saline
An 18-year-old male nearly drowned at a local lake after treading water for 25 minutes.
He is shivering uncontrollably and complains of nausea and weakness. Vital signs are
BP-122/62, R-28, P-136, and his temperature is 93.2 F (34 C). What should you
suspect? - answerMild hypothermia
A 45-year-old male complains of shortness of breath. He has a history of alcohol abuse
and presents with severe ascites. Vital signs are BP-142/78, P-104, R-24 with crackles.
What should you suspect? - answerLiver Failure
A 22-year old male has recently undergone a surgical procedure to repair an injury to
thoracic vertebrae T1-T2. Assessment indicates the patient is alert and oriented,
bradycardic, hypotensive, and has warm, dry skin. Which type of shock is most likely
occurring? - answerNeurogenic
It is 0600 hours and you are treating a 63-year-old female with slurred speech, facial
droop, and altered mental status. At 0400 hours, her husband heard her go to the
bathroom. At 2300 hours they went to bed and everything was "fine." How should you
report the last time she was known normal? - answer2300 hrs
Which of the following may cause primary respiratory alkalosis? - answerFever
A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is
warm and his urine is dark, yellow and cloudy. Vital signs are BP 86/68, P-128, R-24,
temp 101.2 F (38degrees C). Which type of shock should you suspect? - answerSeptic
A 20-year-old male college student complains of acute onset of fever, headache,
vomiting, and malaise. He appears ill and has a petechial rash on his extremities. What
should you suspect? - answerMeningitis
A 20-year-old male complains of severe pain after a jellyfish sting. He has a red,
swollen ankle and foot. What should you do? - answerWash the area and administer an
analgesic
The renin-angiotensin-aldosterone system is activated during shock in order to cause
which of the following? - answerIncrease in preload, after load, and reabsorption of
sodium
An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-
week history of productive cough. She has pursed lip breathing. She is prescribed a
bronchodilator as needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What
should you suspect? - answerEpiglottitis
An anxious 32-year-old female complains of chest pains with palpitations. She has a
history of Grave's disease. She reports she was seen in the ED earlier that day and had
a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of
101.5 F (38.6 C). Vital signs are BP-100/62, P-156, R-30, BGL 133mg/dL. What should
you administer? - answerNormal Saline
What statement is correct regarding responding to a suspected nerve agent exposure? -
answerPatients should be treated in a well-ventilated area
What reference is the MOST beneficial to obtain for a suspected stroke? - answerLast
Known Well
Which of the following statements is correct regarding radioactive materials? -
answerSimple clothing can stop beta particles from entering the body
What finding is unique to pericarditis? - answerDiffuse ST segment elevation
A 21-year-old male complains of sharp chest pain and shortness of breath. The
symptoms started when he lifted a heavy object. Vital signs are BP-152/96, P-108, R-24
, and diminished on the left. What should you suspect? - answerSpontaneous
Pneumothorax
A 72-year-old female complains of a sudden onset of a burning sensation to the left side
of her forehead and blurred vision. She wants to follow up with her primary care
physician tomorrow. Vital signs are BP-150/70, P-80, R-16. What should you do? -
answerEncourage her to be transported by ambulance to the hospital
An anxious 61-year-old male complains of severe shortness of breath and localized
chest pain with blood-tinged sputum. His dyspnea started when he stood up from
watching television all day and increased in severity as he moved around. Vital signs
are BP-104/60, P-98 and irregular, R-26 and labored. What should you suspect? -
answerPulmonary Embolism
Anaphylaxis is most commonly associated with which physiological event? -
answerVasodilation
A confused 67-year-old male has vomited multiple times prior to EMS arrival. He was
involved in a car crash 48 hours prior. Bystanders state he became increasingly
confused and lost coordination since the crash. Vitals signs are BP-150/88, P-72, R-18,
BGL-92 mg/dL. What should you suspect? - answerSubdural Hematoma
What condition causes paroxysmal nocturnal dyspnea? - answerLeft-sided heart failure
What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic
state (HHS)? - answerNormal Saline
An 18-year-old male nearly drowned at a local lake after treading water for 25 minutes.
He is shivering uncontrollably and complains of nausea and weakness. Vital signs are
BP-122/62, R-28, P-136, and his temperature is 93.2 F (34 C). What should you
suspect? - answerMild hypothermia
A 45-year-old male complains of shortness of breath. He has a history of alcohol abuse
and presents with severe ascites. Vital signs are BP-142/78, P-104, R-24 with crackles.
What should you suspect? - answerLiver Failure
A 22-year old male has recently undergone a surgical procedure to repair an injury to
thoracic vertebrae T1-T2. Assessment indicates the patient is alert and oriented,
bradycardic, hypotensive, and has warm, dry skin. Which type of shock is most likely
occurring? - answerNeurogenic
It is 0600 hours and you are treating a 63-year-old female with slurred speech, facial
droop, and altered mental status. At 0400 hours, her husband heard her go to the
bathroom. At 2300 hours they went to bed and everything was "fine." How should you
report the last time she was known normal? - answer2300 hrs
